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Contractor Evaluation Form

This document is a project questionnaire form from the Ministry of Municipal & Rural Affairs in the Kingdom of Saudi Arabia. The form collects information about a construction project for contractor classification purposes. It requests details about the project owner, contractor, contract value, scope of work, completion percentage, contractor's performance ratings, breakdown of project fields, and principal's approval. The instructions state that the form must be fully and accurately completed by the project owner's principal for the contractor to submit for classification. Any modifications or scratches will invalidate the form.

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Wessam Hashem
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127 views2 pages

Contractor Evaluation Form

This document is a project questionnaire form from the Ministry of Municipal & Rural Affairs in the Kingdom of Saudi Arabia. The form collects information about a construction project for contractor classification purposes. It requests details about the project owner, contractor, contract value, scope of work, completion percentage, contractor's performance ratings, breakdown of project fields, and principal's approval. The instructions state that the form must be fully and accurately completed by the project owner's principal for the contractor to submit for classification. Any modifications or scratches will invalidate the form.

Uploaded by

Wessam Hashem
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

The form will not be accepted if

any scratch or modification is


found. It will be preferable to
be automatically completed.

KINGDOM OF SAUDI ARABIA


MINISTRY OF MUNICIPAL & RURAL AFFAIRS
DEPUTY MINISTRY FOR
CONTRACTOR CLASSIFICATION

PROJECT QUESTIONNAIRE FORM


First: General Information
1-

The Project Owner

2-

The Contractor

3-

Project Title

4-

Contract No.

5-

Contract Value (SR):

8-

Project Period (in months):

10-

Project Start:

12-

Percentage of completed works:

13-

Brief description of the scope of work according to the contract:

14-

Contractors role in executing the Project:


Main Contractor

15-

6-

Value Increase
9-

/14

Value Decrease

Additional Period:
11-

% until

Active Partner

7-

Project End:

/14

/ /14 H

Sub Contractor

Names of the other contractors participating in executing the project with the contractor mentioned in (2) above.
Contractors Name

Role according to 14

Scope of Work

% of the Project

A statement for contractors participating in the project execution may be attached when required
Second: Contractors performance: Put (x) in the appropriate column (1 lowest, 5 highest)
Criterion

Mark
1

Project management (planning, organization and follow up).


Work quality & compliance with the specifications
Compliance with the time schedule
Project staff level (competence, experience, qualifications)
Availability of the necessary equipment & systems and extent of their efficiency
Application of the security & safety procedures
Job saudization and provision of the training programs

Notes:

Third: Scope of the Project Works


Divide the project into the main items (with respect to the contractor referred to in (2) as indicated
herein below in accordance with the percentages of cost, observing that the total shall be 100%.
Construction Fields

Operation & Maintenance Fields

Buildings

Maintenance Buildings

Roads

Maintenance Roads

Water & Sanitation Works

M & O of Water & Sanitation Works

Electrical Works

M & O of Electrical Works

Mechanical Works

M & O of Mechanical Works

Electronic Works

M & O of Electronic Works

Industrial Works

M & O of Industrial Works

Marine Works

M & O of Marine Works

Dams

M & O Dams

Landscaping

Maintenance of Landscaping

Slaughterhouses

M & O of Slaughterhouses

Well Drilling

City Cleaning & Wastes Disposal

Maintenance Health Centres


Catering for Medical Centres
Catering for Individuals
Another field (specify)

Another field (specify)

Principals Approval
Position

Name

Signature

Date

Official Stamp

Important instructions according to the Circular of H.R.H., the Minister, No.79379 dated 14/11/1429 H.
1. Completion of the form once the contractor applies for that with respect to any project so that the
classification procedures will not be delayed and the contractors interests will not be adversely affected.
2. Completion of the form according to the project situation and in any of its stages after the contract signature.
No specific stage is stipulated for its completion.
3. The form shall be completed by the direct principal of the project owner and shall be certified & stamped.
4. The form shall be handed over to the contractor inside an envelope and must be stamped by the owners
confidential stamp, to be submitted by the contractor to the Deputy Ministry for Contractors Classification,
together with the classification application documents & forms.

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